AuDHD Therapy: Autism & ADHD Together
Therapy for adults who are both Autistic and ADHD. You're not contradictory, and you're not doing neurodivergence wrong. You're running two systems that sometimes want opposite things, and there's a way to work with both.
You crave routine. You also destroy it.
The Autistic part of you needs predictability, and the ADHD part gets restless the moment it exists. You seek stimulation and get overwhelmed by it, sometimes in the same hour. Advice written for either condition alone keeps backfiring, because you're not either condition alone. If this sounds familiar:
- You build routines that genuinely regulate you, then the novelty-seeking part of you abandons them within weeks
- Your sensory life runs both directions: seeking input one moment, fleeing it the next
- ADHD advice ("switch it up, gamify it") wrecks the structure you depend on; autism advice ("more routine, more sameness") starves the part of you that needs new
- You've been masking on two fronts, performing focus and performing ease, and the exhaustion is doubled
- One diagnosis or discovery came first, and it only ever explained half of you
- You can hyperfocus for hours, but being interrupted or switching tasks feels almost physically painful
Two systems, one person
Neither side of you is the problem, and neither is the "real" you. The friction lives where the two systems pull in opposite directions, and it shows up in predictable places. Naming where it lives is the first phase of the work.
The work is negotiation, not elimination. Each tension point lives in the overlap, which means each one can be worked with rather than fought.
Every path to AuDHD
Both diagnoses, one diagnosis, or neither. Formally identified or figuring it out. If you're running both systems, this work was built for it.
Late-identified AuDHD
Discovering both in adulthood, and re-reading a whole life through the double lens.
One diagnosis first
ADHD or autism identified years ago, and it only ever explained half of you.
High-masking adults
Passing as neurotypical at great cost, often missed by both diagnostic pipelines.
Self-identified & questioning
No formal diagnosis required, for either. If the pattern fits, the work fits.
AuDHD in your relationship
When the tension mostly plays out with a partner, couples work may fit better.
Four fronts, matched to both systems
Nothing here assumes you're only one thing. Every skill gets checked against both sides before it's asked of you.
Mapping which system is driving
Is today's stuckness overwhelm or understimulation? Is the resistance demand-avoidance or boredom? We build your personal map, because the right response to one is exactly the wrong response to the other.
Routines with novelty built in
Structure the Autistic side can rely on, with variation the ADHD side actually stays for: stable frames, rotating contents. Not a compromise where both sides lose, but a design where both get fed.
Sensory regulation, both directions
A sensory plan that honors seeking and avoiding: what input helps you regulate, what tips you into overload, and how to move between them on purpose instead of by crash.
Unmasking & identity
Working out who you are under two layers of performance, at a pace you control. Grieving what masking cost, deciding where it still serves you, and building a life that needs less of it.
A clear, structured plan, built in sequence
This is structured, ND-affirming work, not open-ended venting. By session three you'll know your plan, its phases, and roughly how long the work takes. Sessions are 50-55 minutes.
Structure itself is adapted for AuDHD: predictable session frames for the Autistic side, enough variety inside them for the ADHD side. Neither part of you is treated as the obstacle. If medication questions come up, I'll coordinate with your prescriber or help you find one.
Assessment
Your full profile: both systems, mapped individually and together.
Your tension map
Where the two systems pull against each other, and where they cooperate.
Skills phases
Regulation, dual-system routines, and unmasking, built in sequence.
Consolidation
Making the negotiated life yours, so it holds outside the session.
All sessions online via secure, HIPAA-compliant video. You must be physically located in Texas, Maine, Montana, or New Hampshire at the time of session. Your own space, your own lighting, your own stims: online works well for AuDHD.
Visit the services page to see which insurances are accepted, along with current rates and private pay options.
ND-affirming, structured therapy informed by specialized neurodivergence training, including AANE coursework and AANE Pathological Demand Avoidance (PDA) training. Full credentials →
Both sides of you are welcome here.
The consultation is free and short. We'll talk by phone (I'll call you at the time you schedule) and see if we're a fit. No pressure, no commitment.